Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.82 / $1,169.00 / $4,634.00	Facility		$290.82	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $210.82 / $388.48	Professional		$136.27	$210.82	$388.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,703.74 / $3,502.82	Facility		$1,067.26	$1,703.74	$3,502.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.04 / $286.89 / $424.55	Professional		$188.04	$286.89	$424.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $277.12 / $455.07	Professional		$165.44	$277.12	$455.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $349.08 / $853.18	Professional		$195.01	$349.08	$853.18
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $195.01 / $315.82	Professional		$187.37	$195.01	$315.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $363.93	Professional		$32.34	$32.34	$363.93
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $347.83 / $553.35	Professional		$225.39	$347.83	$553.35